Search › Illinois › 2255A2300X
Jessica Ballard, MS, ATC
NPI 1568000768 · on the registry since 2019
Practice
- Address
- 17823 Poplar Grove Rd
Poplar Grove, IL 61065 - Phone
- (815) 765-3311
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-12-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois